Kirksville Allergy and Asthma, LLC

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

19139861 Issued in MO

Legal business name

KIRKSVILLE ALLERGY AND ASTHMA, LLC

Practice address

610 Rosewood Dr
Kirksville, MO 63501-2477

Phone

(660) 627-2553

Fax

(660) 665-0448

NPI assigned

Mar 11, 2008

Last updated

Oct 1, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Tracy Talton

Title

Clinic Manager

Phone

(660) 627-2553

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EHBDAA

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gemma A Ciesemier, DO

  • Family Medicine Physician
  • Kirksville, MO
  • NPI 1093790966
  Medicare reassignment Care Compare group NPD
• Lawrence Lester Ciesemier, D.O

  • Allergy & Immunology (Internal Medicine) Physician
  • Kirksville, MO
  • NPI 1952464190
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380585600000",
    "number": "1730359340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 ROSEWOOD DR",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635012477",
            "telephone_number": "660-627-2553",
            "fax_number": "660-665-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 ROSEWOOD DR",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635012477",
            "telephone_number": "660-627-2553",
            "fax_number": "660-665-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRKSVILLE ALLERGY AND ASTHMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2013-10-01",
        "status": "A",
        "authorized_official_last_name": "TALTON",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "660-627-2553",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "MO",
            "license": "19139861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500382205",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Kimmel, HIS
• Joanne Kincaid, RBT
• Kade Earl Kinney, DO
• Jacqueline Elise Kirkpatrick, FNP-BC
• Kirksville Academic Medicine LLC
• Kirksville Anesthesia Associates, P.C.
• Kirksville Chiropractic and Rehabilitation LLC
• Kirksville Clinic Corp
• Kirksville Dental Group
• Kirksville Foot & Shoe

• Allergy Physician in Kirksville, MO
• Providers in Kirksville, MO by specialty
• Allergy Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.